NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A 75-year-old woman was brought to the crisis center by her husband. The husband reports that his wife has been in shock and anxious since her purse was stolen outside of their home. The woman blames herself for being robbed, is worried about her stolen wallet and credit cards, and is afraid to go home. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: The nurse should encourage talking about the robbery (
B) to process emotions, discuss safety changes at home (
C) to address her fear, and investigate injuries (
D) to ensure physical health. Lorazepam (
A) may be premature without assessment, and asking about prevention (E) may reinforce self-blame.
Question 2 of 5
Despite education and role-play practice of restraint procedures, a staff member is injured when actually restraining a client. When helping the uninjured staff deal with the incident, the nurse should address which of the following about the injured member?
Correct Answer: A
Rationale: The nurse should address that the injured member's emotional responses may resemble those of crime victims, acknowledging potential trauma. Resignation is speculative, legal action is not the nurse's focus, and debriefing with the client is inappropriate and potentially harmful.
Question 3 of 5
A client admitted for violent behavior toward a family member expresses remorse and asks how to prevent future incidents. Which of the following should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Attending anger management classes provides the client with tools to manage emotions and prevent violence, addressing the root cause. Avoiding family is impractical, sedatives are a temporary measure, and an apology letter does not teach coping skills.
Question 4 of 5
A client in crisis after losing their home to foreclosure is tearful and withdrawn. Which nursing diagnosis is the priority?
Correct Answer: A
Rationale: Hopelessness is the priority due to the client's tearful and withdrawn behavior, indicating a significant emotional impact from the loss. Ineffective coping, anxiety, and social interaction risks are relevant but secondary to addressing hopelessness.
Question 5 of 5
A nurse notices a client with a history of self-harm hiding sharp objects. Which is the priority nursing action?
Correct Answer: C
Rationale: Initiating one-on-one observation ensures immediate safety by monitoring the client closely, preventing self-harm. Seclusion, searching belongings, or sedation are more invasive or less immediate without ongoing supervision.